Individual
ELIZABETH NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 200, HAGERSTOWN, MD 21742-6700
(301) 714-4300
(301) 714-4324
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 200, HAGERSTOWN, MD 21742-6700
(301) 714-4300
(301) 714-4324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0033808
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04339-1800
—
MD
Enumeration date
05/03/2006
Last updated
09/22/2011
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